{"id":24,"date":"2021-06-29T15:45:00","date_gmt":"2021-06-29T15:45:00","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/chapter\/2-1-introduction\/"},"modified":"2025-02-18T18:40:52","modified_gmt":"2025-02-18T18:40:52","slug":"2-1-introduction","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/chapter\/2-1-introduction\/","title":{"raw":"2.1  Prioritization Introduction","rendered":"2.1  Prioritization Introduction"},"content":{"raw":"<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Learning Objectives<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n \t<li style=\"font-weight: 400\">Prioritize nursing care based on client acuity<\/li>\n \t<li style=\"font-weight: 400\">Use principles of time management to organize work<\/li>\n \t<li style=\"font-weight: 400\">Analyze effectiveness of time management strategies<\/li>\n \t<li style=\"font-weight: 400\">Incorporate clinical judgment to prioritize nursing care<\/li>\n \t<li style=\"font-weight: 400\">Apply a framework for prioritization<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\u201cSo much to do, so little time.\u201d This is a common mantra of today\u2019s practicing nurse in various health care settings. Whether practicing in acute inpatient care, long-term care, clinics, home care, or other agencies, nurses may feel there is \"not enough of them to go around.\u201d\n\nThe health care system faces a significant challenge in balancing the ever-expanding task of meeting client care needs with scarce nursing resources that has even worsened as a result of the COVID-19 pandemic. Many health care organizations have seen exacerbation in nurse turnover post-pandemic as nurses struggle with increasing stress, burnout, and feeling of uncertainty within the profession.<sup>[footnote]Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the Ppostpandemic world. <em>Journal of Nursing Regulation, 13<\/em>(2),49-60. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9299514\/\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8<\/a>[\/footnote]<\/sup>\u00a0A recent nursing survey done by the American Nurses Foundation found that 60% of nurses reported extremely stressful, violent, and traumatic events as a result of the COVID-19 pandemic.<sup>[footnote]Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the postpandemic world. <em>Journal of Nursing Regulation, 13<\/em>(2),49-60. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9299514\/\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8<\/a>[\/footnote]<\/sup> Additionally, a staggering 89% of nurses reported that their organizations experience significant staffing shortages.<sup>[footnote]Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the postpandemic world. <em>Journal of Nursing Regulation, 13<\/em>(2),49-60. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9299514\/\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8<\/a>[\/footnote]<\/sup>\n\nWith a limited supply of registered nurses, nurse managers are often challenged to implement creative staffing practices such as sending staff to units where they do not normally work (i.e., floating), implementing mandatory staffing and\/or overtime, utilizing travel nurses, or using other practices to meet client care demands.<sup>[footnote]Rochefort, C. M., Abrahamowicz, M., Biron, A., Bourgault, P., Gaboury, I., Haggerty, J., &amp; McCusker, J. (2021). Nurse staffing practices and adverse events in acute care hospitals: The research protocol of a multisite patient\u2010level longitudinal study. <em>Journal of Advanced Nursing, 77<\/em>(3), 1567-1577. <a href=\"https:\/\/doi.org\/10.1111\/jan.14710\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/jan.14710<\/a>[\/footnote]<\/sup> Staffing strategies can result in nurses experiencing increased client assignments and workloads, extended shifts, or temporary suspension of paid time off. Nurses may receive a barrage of calls and text messages offering \u201cextra shifts\u201d and bonus pay, and although the extra pay may be welcomed, they often eventually feel burnt out trying to meet the ever-expanding demands of the client-care environment.\n\nA novice nurse who is still learning how to navigate the complex health care environment and provide optimal client care may feel overwhelmed by these conditions. Novice nurses frequently report increased levels of stress and disillusionment as they transition to the reality of the nursing role.<sup>[footnote]Hoeve, Y. T., Brouwer, J., Roodbol, P. F., &amp; Kunnen, S. (2018). The importance of contextual, relational and cognitive factors for novice nurses' emotional state and affective commitment to the profession. A multilevel study. <em>Journal of Advanced Nursing, 74<\/em>(9), 2082-2093. <a href=\"https:\/\/doi.org\/10.1111\/jan.13709\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/jan.13709<\/a>[\/footnote] <\/sup>How can we address this professional dilemma and enhance the novice nurse's successful role transition to practice? The novice nurse must enter the profession with purposeful tools and strategies to help prioritize tasks and manage time so they can confidently address client care needs, balance role demands, and manage day-to-day nursing activities.\n\nLet\u2019s take a closer look at the foundational concepts related to prioritization and time management in the nursing profession.","rendered":"<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Learning Objectives<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li style=\"font-weight: 400\">Prioritize nursing care based on client acuity<\/li>\n<li style=\"font-weight: 400\">Use principles of time management to organize work<\/li>\n<li style=\"font-weight: 400\">Analyze effectiveness of time management strategies<\/li>\n<li style=\"font-weight: 400\">Incorporate clinical judgment to prioritize nursing care<\/li>\n<li style=\"font-weight: 400\">Apply a framework for prioritization<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p>\u201cSo much to do, so little time.\u201d This is a common mantra of today\u2019s practicing nurse in various health care settings. Whether practicing in acute inpatient care, long-term care, clinics, home care, or other agencies, nurses may feel there is &#8220;not enough of them to go around.\u201d<\/p>\n<p>The health care system faces a significant challenge in balancing the ever-expanding task of meeting client care needs with scarce nursing resources that has even worsened as a result of the COVID-19 pandemic. Many health care organizations have seen exacerbation in nurse turnover post-pandemic as nurses struggle with increasing stress, burnout, and feeling of uncertainty within the profession.<sup><a class=\"footnote\" title=\"Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the Ppostpandemic world. Journal of Nursing Regulation, 13(2),49-60. https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8\" id=\"return-footnote-24-1\" href=\"#footnote-24-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><\/sup>\u00a0A recent nursing survey done by the American Nurses Foundation found that 60% of nurses reported extremely stressful, violent, and traumatic events as a result of the COVID-19 pandemic.<sup><a class=\"footnote\" title=\"Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the postpandemic world. Journal of Nursing Regulation, 13(2),49-60. https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8\" id=\"return-footnote-24-2\" href=\"#footnote-24-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/sup> Additionally, a staggering 89% of nurses reported that their organizations experience significant staffing shortages.<sup><a class=\"footnote\" title=\"Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the postpandemic world. Journal of Nursing Regulation, 13(2),49-60. https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8\" id=\"return-footnote-24-3\" href=\"#footnote-24-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><\/sup><\/p>\n<p>With a limited supply of registered nurses, nurse managers are often challenged to implement creative staffing practices such as sending staff to units where they do not normally work (i.e., floating), implementing mandatory staffing and\/or overtime, utilizing travel nurses, or using other practices to meet client care demands.<sup><a class=\"footnote\" title=\"Rochefort, C. M., Abrahamowicz, M., Biron, A., Bourgault, P., Gaboury, I., Haggerty, J., &amp; McCusker, J. (2021). Nurse staffing practices and adverse events in acute care hospitals: The research protocol of a multisite patient\u2010level longitudinal study. Journal of Advanced Nursing, 77(3), 1567-1577. https:\/\/doi.org\/10.1111\/jan.14710\" id=\"return-footnote-24-4\" href=\"#footnote-24-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/sup> Staffing strategies can result in nurses experiencing increased client assignments and workloads, extended shifts, or temporary suspension of paid time off. Nurses may receive a barrage of calls and text messages offering \u201cextra shifts\u201d and bonus pay, and although the extra pay may be welcomed, they often eventually feel burnt out trying to meet the ever-expanding demands of the client-care environment.<\/p>\n<p>A novice nurse who is still learning how to navigate the complex health care environment and provide optimal client care may feel overwhelmed by these conditions. Novice nurses frequently report increased levels of stress and disillusionment as they transition to the reality of the nursing role.<sup><a class=\"footnote\" title=\"Hoeve, Y. T., Brouwer, J., Roodbol, P. F., &amp; Kunnen, S. (2018). The importance of contextual, relational and cognitive factors for novice nurses' emotional state and affective commitment to the profession. A multilevel study. Journal of Advanced Nursing, 74(9), 2082-2093. https:\/\/doi.org\/10.1111\/jan.13709\" id=\"return-footnote-24-5\" href=\"#footnote-24-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a> <\/sup>How can we address this professional dilemma and enhance the novice nurse&#8217;s successful role transition to practice? The novice nurse must enter the profession with purposeful tools and strategies to help prioritize tasks and manage time so they can confidently address client care needs, balance role demands, and manage day-to-day nursing activities.<\/p>\n<p>Let\u2019s take a closer look at the foundational concepts related to prioritization and time management in the nursing profession.<\/p>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-24-1\">Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the Ppostpandemic world. <em>Journal of Nursing Regulation, 13<\/em>(2),49-60. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9299514\/\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8<\/a> <a href=\"#return-footnote-24-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-24-2\">Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the postpandemic world. <em>Journal of Nursing Regulation, 13<\/em>(2),49-60. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9299514\/\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8<\/a> <a href=\"#return-footnote-24-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-24-3\">Kurtzman, E.T., Ghazal, L.V., Girouard,S., Ma, C., Martin, B., McGee, B.T., Pogue, C.A., Riman, K.A., Root, M.C., Schlak, A.E., Smith, J.M., Stolldorf, D.P., Townley, J.N., Turi, E., Germack, H.L. (2022). Nursing workforce challenges in the postpandemic world. <em>Journal of Nursing Regulation, 13<\/em>(2),49-60. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9299514\/\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S2155-8256(22)00061-8<\/a> <a href=\"#return-footnote-24-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-24-4\">Rochefort, C. M., Abrahamowicz, M., Biron, A., Bourgault, P., Gaboury, I., Haggerty, J., &amp; McCusker, J. (2021). Nurse staffing practices and adverse events in acute care hospitals: The research protocol of a multisite patient\u2010level longitudinal study. <em>Journal of Advanced Nursing, 77<\/em>(3), 1567-1577. <a href=\"https:\/\/doi.org\/10.1111\/jan.14710\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/jan.14710<\/a> <a href=\"#return-footnote-24-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-24-5\">Hoeve, Y. T., Brouwer, J., Roodbol, P. F., &amp; Kunnen, S. (2018). The importance of contextual, relational and cognitive factors for novice nurses' emotional state and affective commitment to the profession. A multilevel study. <em>Journal of Advanced Nursing, 74<\/em>(9), 2082-2093. <a href=\"https:\/\/doi.org\/10.1111\/jan.13709\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/jan.13709<\/a> <a href=\"#return-footnote-24-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":32,"menu_order":1,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[48],"contributor":[],"license":[],"class_list":["post-24","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":23,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":1,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/24\/revisions"}],"predecessor-version":[{"id":25,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/24\/revisions\/25"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/parts\/23"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/24\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/media?parent=24"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapter-type?post=24"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/contributor?post=24"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/license?post=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}